Title |
Pre-exposure Prophylaxis Among Men Who have Sex with Men: Dual Motivational Model of Intention to Use Pre-exposure Prophylaxis
|
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Published in |
AIDS and Behavior, July 2018
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DOI | 10.1007/s10461-018-2214-2 |
Pubmed ID | |
Authors |
Yerina S. Ranjit, Alex Dubov, Maxim Polonsky, Liana Fraenkel, Adedotun Ogunbajo, Kenneth Mayer, Frederick L. Altice |
Abstract |
Men who have sex with men (MSM) account for most new HIV infections in the United States. Despite representing a fraction of the population, MSM make up an estimated 65% of new infections. To address this epidemic, pre-exposure prophylaxis (PrEP) is recommended to supplement condom use. Despite its effectiveness, PrEP uptake among MSM is low. Few studies have employed theoretical approaches to understand PrEP use intention. Incorporating factors like safe sex fatigue, expectation of better sexual experiences, and perceived risk are proposed in this dual motivational path model of PrEP use intention. This model hypothesized that PrEP use intention is influenced by two key pathways: (1) protection motivation pathway, and (2) sexual expectancy pathway. Data were collected using social networking applications from 402 MSM. The model was tested using structural equation modeling. We elaborate the complex decision-making process proposed by this novel theoretical model and discuss its practical implications. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 68 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 10 | 15% |
Student > Master | 7 | 10% |
Student > Ph. D. Student | 6 | 9% |
Student > Doctoral Student | 5 | 7% |
Student > Bachelor | 4 | 6% |
Other | 15 | 22% |
Unknown | 21 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 13 | 19% |
Social Sciences | 7 | 10% |
Nursing and Health Professions | 6 | 9% |
Psychology | 5 | 7% |
Agricultural and Biological Sciences | 2 | 3% |
Other | 12 | 18% |
Unknown | 23 | 34% |